Department of Rural Health, Allied Health & Human Performance, University of South Australia, Adelaide, South Australia, Australia.
Alliance for Research in Exercise, Nutrition and Activity, Allied Health & Human Performance, University of South Australia, Adelaide, South Australia, Australia.
J Rural Health. 2024 Jan;40(1):64-74. doi: 10.1111/jrh.12768. Epub 2023 May 21.
The aim of this research was to develop a contextually and culturally appropriate scale to assess farmers' barriers to health-related help-seeking.
An initial pool of items was developed from the academic literature and input from an expert panel of farmers, rural academics, and rural clinicians. A draft 32-item questionnaire was then developed and sent to farmers registered with FARMbase, which is an Australian national farmer database.
Two hundred and seventy-four farmers completed the draft questionnaire (93.7% male, 73.7% aged 56-75 years). An exploratory factor analysis identified 6 factors; "Health Issues are a Low Priority," "Concerns about Stigma," "Structural Health System Barriers," "Minimization and Normalization," "Communication Barriers," and "Continuity of Care.". Test-retest reliability was examined with a further 10 farmers (90% male, Mean age = 57, SD = 5.91), who completed the questionnaire twice (at 2- to 3-week intervals). Results indicated moderate-good test-retest reliability.
The resulting 24-item Farmer Help-Seeking Scale provides a measure of help-seeking that is specifically designed to capture the unique context, culture, and attitudes that can interfere with farmers' help-seeking, and inform the development of strategies to increase health-service utilization in this at-risk group.
本研究旨在开发一种适用于评估农民寻求与健康相关帮助的障碍的具有上下文和文化适应性的量表。
从学术文献和农民、农村学者和农村临床医生的专家小组的意见中初步确定了一个项目池。然后开发了一份包含 32 个项目的草案问卷，并发送给在 FARMbase 注册的农民，FARMbase 是一个澳大利亚全国农民数据库。
274 名农民完成了草案问卷（93.7%为男性，73.7%年龄在 56-75 岁之间）。探索性因素分析确定了 6 个因素：“健康问题优先级低”、“对污名的担忧”、“结构性健康系统障碍”、“最小化和正常化”、“沟通障碍”和“护理连续性”。进一步对另外 10 名农民（90%为男性，平均年龄=57，标准差=5.91）进行了测试-重测可靠性检验，他们在 2-3 周的间隔内两次完成了问卷。结果表明测试-重测具有中度良好的可靠性。
由此产生的 24 项农民寻求帮助量表提供了一种专门用于捕捉可能干扰农民寻求帮助的独特背景、文化和态度的寻求帮助的衡量标准，并为制定战略以增加该高风险群体对卫生服务的利用提供了信息。
